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Four celebrities used to dominate the agenda when it came to patients’ descriptions of the ideal rear.

Pop singers Jennifer Lopez and Beyoncé, the tennis player Serena Williams and the reality television star Kim Kardashian were all once top of the list but Dr Mendieta says that Miss Middleton has become the “new queen of booty”.

He added: “The buttocks have been an increasing and escalating interest over the last four to five years, but the iconic figures were Jennifer Lopez and Kim Kardashian.

“Both have tremendous curves and large buttocks. While lots of people love the overall shape of those women, many felt those derrières were just a bit too big.

“But ever since the royal wedding, Pippa Middleton has become the new queen of the booty. She opens the doors to those who did not know you could have a small, shapely and perky backside without the large size.

“Patients want to be more proportionate [with] buttocks that look natural and sexy and go with the rest of their body.”

But it is not just Miss Middleton’s behind that has won her admirers across the pond. Her nose is now challenging those of the actress Nicole Kidman and the singer Ashlee Simpson as the perceived ideal.

Dr Richard W. Fleming of the Beverly Hills Institute, a clinic in Los Angeles said: “People ask for what they see, and they are seeing a lot of the Middleton girls. Kate especially has been in the news non-stop for the past two months and the public adore her.

“Pippa has a more curvaceous yet lean body so we are getting lots of requests from patients asking for liposuction and body contouring to get the 'Pippa Body.'”